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Blood, 1 April 2001, Vol. 97, No. 7, pp. 2067-2074
IMMUNOBIOLOGY
TRAIL expression by activated human CD4+V 24NKT
cells induces in vitro and in vivo apoptosis of human acute myeloid
leukemia cells
Mie Nieda,
Andrew Nicol,
Yashuhiko Koezuka,
Akiko Kikuchi,
Natalia Lapteva,
Yuji Tanaka,
Katsushi Tokunaga,
Kenji Suzuki,
Nobuhiko Kayagaki,
Hideo Yagita,
Hisamaru Hirai, and
Takeo Juji
From the Department of Research of the Japanese Red
Cross Central Blood Center; Japanase Red Cross Hospital; Department of
Human Genetics and Department of Hematology and Oncology, Graduate
School of Medicine; Department of Immunology, Juntendo University
School of Medicine; Tokyo, Japan; Queensland Institute of Medical
Research and Department of Medicine, University of Queensland,
Australia; Royal Brisbane Hospital, Brisbane, Australia; and
Pharmaceutical Research Laboratory, Kirin Brewery, Gunma, Japan.
Human V 24NKT cells are activated by -galactosylceramide
( -GalCer)-pulsed dendritic cells in a CD1d-dependent and a T-cell receptor-mediated manner. Here, we demonstrate that
CD4+V 24NKT cells derived from a patient with acute
myeloid leukemia (AML) M4 are phenotypically similar to those of
healthy donors and, in common with those derived from healthy donors,
express tumor necrosis factor-related apoptosis-inducing ligand
(TRAIL) when the cells are activated by -GalCer-pulsed dendritic
cells but not prior to activation. We also show that myeloid leukemia cells from patients with AML M4, but not from patients with AML M0 or
M1, undergo apoptosis following culture with TRAIL-expressing autologous or allogeneic healthy donor V 24NKT cells. Apoptosis of
AML M4 leukemia cells from patient peripheral blood was almost completely blocked by a neutralizing monoclonal antibody against TRAIL,
indicating that TRAIL on V 24NKT cells is essential for the induction
of apoptosis in AML M4 leukemia cells. A nonobese diabetic-severe
combined immunodeficient human leukemia (AML M4) model showed that
human activated CD4+V 24NKT cells induced apoptosis of
human leukemia cells in vivo. This is the first evidence that activated
V 24NKT cells express TRAIL and that TRAIL causes apoptosis of
monocytic leukemia cells from patients with AML M4 in vitro and in
vivo. Adoptive immune therapy with activated V 24NKT cells, or other
strategies to increase activated V 24NKT cells in vivo, may be of
benefit to patients with AML M4.

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